Deliberate Practice in Motivational Interviewing

Jennifer Knapp Manuel, Denise Ernst, Alexandre Vaz , Tony Rousmaniere

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English

American Psychological Association
06 September 2022

Psychology; Clinical psychology; Psychotherapy

Series: Essentials of Deliberate Practice Series

Deliberate practice exercises help clinicians develop competence in fundamental motivational interviewing skills to better assist clients with change goals, like quitting addictive behaviors and developing healthier habits, and to improve treatment engagement and retention.

These exercises present role-playing scenarios in which two trainees act as a client and a clinician, switching back and forth under the guidance of a supervisor. The clinician improvises appropriate and authentic responses to client statements organized into three difficulty levels—beginner, intermediate, and advanced—that reflect common client questions and concerns. The first 12 exercises focus on specific skills, such as offering simple and complex reflections and affirmations, eliciting change talk, supporting client autonomy, and collaboratively mapping session agendas. These are followed by two comprehensive exercises—an annotated transcript and free-form mock therapy sessions—in which trainees integrate essential skills into one session.

Step-by-step instructions guide participants through the exercises, identify criteria for skill mastery, and explain how to monitor and adjust difficulty. Guidelines and forms to help trainers and trainees get the most out of training are also provided.

By: Jennifer Knapp Manuel, Denise Ernst, Alexandre Vaz, Tony Rousmaniere
Imprint: American Psychological Association
Country of Publication: United States
Dimensions: Height: 279mm, Width: 216mm,
Weight: 363g
ISBN: 9781433836183
ISBN 10: 1433836181
Series: Essentials of Deliberate Practice Series
Pages: 212
Publication Date: 06 September 2022
Audience: Professional and scholarly , Undergraduate
Format: Paperback
Publisher's Status: Active

Series Preface Tony Rousmaniere and Alexandre Vaz Acknowledgments Part I: Overview and Instructions Chapter 1: Introduction and Overview of Deliberate Practice and Motivational Interviewing Chapter 2: Instructions for the Motivational Interviewing Deliberate Practice Exercises Part II: Deliberate Practice Exercises for Motivational Interviewing Skills Exercises for Beginner Motivational Interviewing Skills Exercise 1: Simple Reflections Exercise 2: Complex Reflections, Part 1: Guesses at What the Client Means Exercise 3: Complex Reflections, Part 2: Guesses at Underlying Client Emotions or Values Exercise 4: Reflections and Open-Ended Questions Exercises for Intermediate Motivational Interviewing Skills Exercise 5: Eliciting Change Talk Exercise 6: Reflecting Change Talk Exercise 7: Double-Sided Reflections Exercise 8: Dancing With Discord Exercises for Advanced Motivational Interviewing Skills Exercise 9: Simple and Complex Affirmations Exercise 10: Autonomy Support Exercise 11: Agenda Mapping Exercise 12: Elicit–Provide–Elicit Comprehensive Exercises Exercise 13: Annotated Motivational Interviewing Practice Session Transcript Exercise 14: Mock Motivational Interviewing Sessions Part III: Strategies for Enhancing the Deliberate Practice Exercises Chapter 3: How to Get the Most Out of Deliberate Practice: Additional Guidance for Trainers and Trainees Appendix A: Difficulty Assessments and Adjustments Appendix B: Deliberate Practice Diary Form Appendix C: Sample Motivational Interviewing Syllabus With Embedded Deliberate Practice Exercises References Index About the Authors

Jennifer K. Manuel, PhD, is deputy director of psychology at the San Francisco Veterans Affairs Health Care System and anassociate professor in the Department of Psychiatry and Behavioral Sciences at the University of California, San Francisco. She has been a member of the Motivational Interviewing Network of Trainers (MINT) since 2005. She conducts MI training and coding workshops throughout the world. She has coauthored multiple MI behavioral coding systems including the widely used Motivational Interviewing Treatment Integrity (MITI) coding manual. Dr. Manuel’s research expertise is in the implementation and evaluation of MI in front-line clinical settings. Denise Ernst, PhD, is an adjunct professor at the School of Social Work, Portland State University. She has been a motivational interviewing (MI) consultant for over 25 years, providing training, evaluation, research and implementation support, and private coaching internationally. Dr. Ernst has helped develop and refine MI coding instruments, including the Motivational Interviewing Skill Code (MISC) and the Motivational Interviewing Treatment Integrity (MITI) coding system. She participated in research efforts to enhance training effects, providing structured feedback and coaching for many professions. Dr. Ernst has been a member of the Motivational Interviewing Network of Trainers (MINT) since 1997. Alexandre Vaz, PhD, is director of training at the Sentio Marriage and Family Therapy graduate program and Sentio Counseling Center. He has authored many books on deliberate practice and psychotherapy training and is coeditor of the book series The Essentials of Deliberate Practice (APA Books). Dr. Vaz has held multiple committee roles for the Society for the Exploration of Psychotherapy Integration (SEPI) and the Society for Psychotherapy Research (SPR). He is founder and host of “Psychotherapy Expert Talks,” an acclaimed interview series with distinguished psychotherapists and researchers. Tony Rousmaniere, PsyD, is program director of the Sentio Marriage and Family Therapy graduate program, and executive director of the Sentio Counseling Center. He has authored many books on deliberate practice and psychotherapy training and is coeditor of the book series The Essentials of Deliberate Practice(APA Books). In 2017, Dr. Rousmaniere published the widely cited article in The Atlantic Monthly, “What Your Therapist Doesn’t Know.” Dr. Rousmaniere supports the open-data movement and publishes clinical outcome data at drtonyr.com. He is president of Division 29 of APA.